Support Person Follow Up: Me Breastfeed

    Thank you for participating in the Me Breastfeed Workshop!

    We are gathering information to look at ways to improve our workshop and would appreciate your feedback. Please take a few minutes to fill out this form. Your opinion is very important to us and it will help us provide better service to you and other families in the future.



    Please indicate your level of agreement with the following:


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly DisagreeDoes Not Apply


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly DisagreeDoes Not Apply


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly DisagreeDoes Not Apply


    Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly DisagreeDoes Not Apply

    The workshop had many different activities and we would like to know what activities you found the most helpful.

    Please indicate how you feel about the following:


    HelpfulNot HelpfulNeutral


    HelpfulNot HelpfulNeutral


    HelpfulNot HelpfulNeutral


    HelpfulNot HelpfulNeutral


    HelpfulNot HelpfulNeutral


    YesNoUnsure

    Please indicate your current level of confidence with the following:


    Very ConfidentConfidentA Little ConfidentNot Confident


    Very ConfidentConfidentA Little ConfidentNot Confident

    Please indicate your level of comfort with the following:


    Very ConfidentConfidentA Little ConfidentNot Confident




    Photo of a group of mothers babywearing their infants and smiling. Text Reads